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\� I <br /> I <br /> I <br /> P-298 999 864 <br /> Rept for �^ <br /> i <br /> Certified Mail ' <br /> t No Insurance Coverage Provided <br /> Do not use fot International Mail <br /> (See Reverse) <br /> Sent"'W.'Tt-1'JORDAN & M COTR <br /> HE)BLY DR <br /> Street <br /> TRACY CA -A5376 <br /> P,O..State and ZIP Code - <br /> I <br /> I <br /> Postage <br /> .29- i <br /> tCerlified Fee - <br /> I <br /> Special Delivery Fee i <br /> Restricted Delivery Fee <br /> RLjurn Peceipl Showing <br /> to Whom&Date Delivered 1.00 <br /> Return Receipt Showing to Whom, <br /> 5 C Dare,and Addressee's Address <br /> 7 <br /> TOTAL Postage <br /> C &Fees 2 - 29 <br /> WPostmark or Date <br /> E <br /> O <br /> LL <br /> rn <br /> 0- <br /> m <br /> ;aalso wish to receive the <br /> Z • o e s t and/or 2 far additional services. <br /> ./ 3,and 4a&b. following services {for an extra <br /> H nt your r ame and address on the reverse of this form so that we canT t' <br /> fee): q <br /> m return this card to you. -�. M'eJ EYYQ6 m <br /> m <br /> • Attach this form to the front of the mailpiece,or on the back if space 1. Rd a dress CA does not permit. a ! <br /> t <br /> • write"Return Receipt Requested"on the mailpiece below the article number' 2 ❑ Restricted Delivery <br /> The Return Receipt will show to whom the article was delivered and the date <br /> Livered. Consult postmaster for fee. <br /> o <br /> a 3. Article Addressed to:, 4a. Article Number <br /> w P 298 999 864 <br /> m W T JORDAN & M COTRS <br /> �, a 4b. Service Type pc <br /> E 1101 HOLLY DR ❑ Registered ❑ Insured <br /> G TRACY CA 95376 °f <br /> U Certified ❑ COD c <br /> N <br /> ❑ Express Mail ❑ Return Receipt for 05 <br /> Merchandise `o <br /> pC� 7. Date of Delivery <br /> a lo w� � g <br /> 0 <br /> Z 8. Addressee's dress{Only if requested ae <br /> 5. Signature (Addressee) <br /> and f e is p f <br /> LU <br /> 6. nature (Agent) ~ <br /> �- PS orm 3811, cember 199 *U.S.GPO;teas-sszaia p ESTIC RETURN RECEIPT <br /> r� r <br />